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CUF CHAIN STOD RE <br /> Advanced O CORD <br /> GeciEnvironmental, Inc. Date Page of <br /> 837 Shaw Road-Stockton, California-95215 - (209) 467-1006- Fax 1209)467-1118 <br /> Client 6I& 54� 4#z- _ Project1& Ler Tests Required <br /> Phone Number <br /> Samplers (Signature) Irnolce, <br /> Project Namev AGE L/ <br /> S + , �J� Client ❑ <br /> � <br /> Sample Location date Time No of Notes <br /> Number Description Water Sample Type Air Solid Conts <br /> Comp Grab <br /> oD X <br /> Pvz� 1 <br /> a mquis e yig ture ecerve y rgnature DatelTrme <br /> 2^Rel7-2-2,— <br /> Relinquished <br /> inquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatefTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by " <br /> telTrme <br /> T-- 7/1 02 Jrva <br /> Method of Shipment Laboratory Name <br /> CAC &6&'b I17 � <br /> Special instructions I hereby authorize the performance of the above Indicated work <br /> 4✓�/ I <br />